Final Exam Flashcards
Entitlement
laws that guarantee rights benefits to specific groups of individuals
Examples include Social Security, Medicare, Children’s Health Insurance Program and Medicaid
Social Security Act
Oldest entitlement legislation
Designed to help the poor, elderly, and disabled.
Provided the foundation for currently existing laws and regulations
Concerns of Healthcare Reform
cost, access, and quality of care
Medicare
100% Federally funded Program . Must be:
Age 65 +
Under 65 have ALS dx, dialysis/kidney transplant, or are disabled for 24 continuous months and received social security benefits
Medicaid
Federal and State Partnership. Covers:
Income is 20% below the federal poverty level
Children, Seniors, Adults with Dep Children, Pregnant Women, Severe Disabilities
Supplemental Security Income Program (SSI)
Designed to meet the needs of the needy elderly, blind, and disabled persons who did not qualify for Social Security
Skilled Services
Providing unique services that will increase functional status with your intervention (skill expertise)
Unskilled Services
skill expertise not required to perform service
Omsbudsman
a person who investigates and mediates complaints
Irreversible Dementia
characterized by intellectual decline, disorganization of the personality and functional decline
Dementia
cognitive disorders that can be caused by general medical conditions, head trauma, or the persistent effects of substance abuse
Chemical Restraint
A drug used to restrict a person’s movement or control their actions
Not a specific treatment for a person’s disease
Reasons for Restraints
Prevent disruption of their treatment
Prevents harm to themselves and others
Alternate Methods for Restraints
Talk calmly
Teaching
Cooperating
Diversion
Medicare A-D
A- inpatient
B- outpatient, home health, DME.
C- Medicare Advantage
D- Medication coverage
